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` FLORIDA DEPARTMENT OF STATE DIVISION OF ELE15TIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) OFFICE USE ONLY
Name _
(2) 7ysS CoLLi.� hirs-. "5'Cli✓G q-/
Address Dumber and treet)
G9�c C_ C1
City, State,Zip dode
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate (office sought):
❑ Political Committee ❑ CHECK IF PC HAS DISBANDED C) o
❑ Committee of Continuous Existence ❑CHECK IF CCE HAS DISBANDED —' ►"
❑ Party Executive Committee C-) � ;'r°1
❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERI#_G _
COMMUNICATION REPORTS WILL BE�OILM 'I
(5) REPORT IDENTIFIERS o
Cover Period: From To Report T YP e I l z
-':D
[O/Original ❑Amendment ❑ Special Election Report ❑ Independent Expendfift Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ O.O C7 Expenditures $
Loan6:j $ p . 00
Transfers to Office
k c
U-' 7- ° Account
Total Monetary t $ 0 , 0O Total
— Monetary $
In-Kind'__, $ 0 , 06
N
(8) Other Distributions
$ C�.o0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 33 , goo , 00 $ air 79� . 5
(11)CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record(ss.839.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
(Type name) G 4L/yd (Type name)
Indi . ual(o or T ensurer [:]Deputy Treasurer ❑Candidate Chairperson(only for PC,PTY&
eledio g ) eledioneenng mmun.organization)
Y �
Signature Sign re
DS-DE 12(Rev.08104) � /
V Fn
AMPAIG TREASURER'S REPORT-3�Njktb1 E ?6iURES Q c(
(1) Flame 9r'0'Q1n1y7A . C oM (2���S Uumbl�
CITY CL L. 1
(3)Cover Period /0 / 1 / ( through fa'- 1 -31 / 1 (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
40 Y(7 C'ohcws ��lv.11.cC�
DO 7�RFS'1�d T'� NC D .
/0 18 i/ 69of E . & c DO qtaiD
I WO C&L.L;mss Avs- cc-c-
40 y0 C0"r'46 Rid-1 LLc
!f `7'oY0 C oLCr,rS �,�kf
50f,0Si.sC1 �c-
p c E Poo. 00
a�L \/A v
12 (y /11 90 yo (f'ot ( 'X5 A
Gv�
j0 g 0 C v)--L tk5 d-,t= LC-L
l a i6 !t 9vyd ccl.u,✓g ��!
$.►RtS�Dv�
C c� 3 f'0.Dc7
ads ✓�s
I A I I f gU`(U COLLL4S
SvQ�iQe'I fi,
0 � 6 O .Ot)
DS-DE 14(Rev.08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES D�